Justin S. McMinn, O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2526 Issued in AR

Legal business name

JUSTIN S. MCMINN, O.D.,P.A.

Doing business as

McMinn Eye Care Clinic

Practice address

2650 John Harden Dr
Suite D
Jacksonville, AR 72076-1886

Phone

(501) 982-0032

Fax

(501) 982-0121

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin S McMinn, O.D.NPI 1538152616

Title

Owner/President

Phone

(501) 982-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McMinn Eye Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin S McMinn, O.D.

  • Optometrist
  • Jacksonville, AR
  • NPI 1538152616
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1952326829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JOHN HARDEN DR",
            "address_2": "SUITE D",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761886",
            "telephone_number": "501-982-0032",
            "fax_number": "501-982-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JOHN HARDEN DR",
            "address_2": "SUITE D",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761886",
            "telephone_number": "501-982-0032",
            "fax_number": "501-982-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN S. MCMINN, O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-982-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155018722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMinn Eye Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela A Jones, OTR/L
• Jordan Todd Cooper DDS PA
• Josh Mansfield DDS, PLLC
• Jabbar Joshua
• Alexandria Danielle Julian, COTA/L
• Stephanie Kapp, PT
• Adam Lynn Keathley, PHARMD
• Erica M Keathley, QBHP
• Justin Wade Keathley, LCSW
• Michelle Lee Keaton, OTRL

• Optometrist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.